Why no bike riding till 3 months Post op?

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J

Janea

Hi all--
My cardiologist said no bike riding till 3 months post op. Is that because the risk of falling and injuring my sternum? Or, is it because there is some sort of pressure put on the sternum when you are gripping the handle bars? Does any one know? I wish I had asked my cardio this when he gave me this advice but I never did.
 
I think it is a bit of both. The twisting and turning you do on a bike can be an issue. Also, if you fell, you would be in a heap (pun intended) of trouble. Try to be patient and get around by walking until you are 3 months out.
 
My surgeon gave me the OK to start on a stationary bike at 3 weeks post-op and to hit the road at 6 weeks. Don't tell but I may have cheated just a little on the six week guideline and felt only a little discomfort in the sternum from my position on the bike. At 6 weeks I would think your sternum should be stable but it would hurt a lot to crash, but it always does. When cheating I found that riding my mountain bike which has me in a more up-right position was less offensive to my sternum than my road bike.
Listen to your body and your doctor not me, I may get you in trouble.
Good luck on your recovery and return to an active lifestyle.

Philip
 
My understanding is that the sternum is not 100% healed until 12 weeks post-op. At 6 weeks it is my understanding that it is healed to about 80% of full strength. MANY surgeons don't even recommend driving until 6 weeks, but often relent to LIMITED driving at 4 weeks (i.e. to go in for Doctor's Office Visits :)

'AL Capshaw'
 
Hey Janea,
I was also told not to ride my bike until after 3 mos . I got this advice from my surgeon. I think the main reason is the damage that could result to the still healing sternum in the event of a fall.
I was unable to stay off my bike so I did most of my riding in a controlled environment mainly on dedicated bike paths in nearby parks to avoid the crazy drivers we have around here. By the time my 3 months were up and I was confident the sternum was fully healed I started riding hard again on street and trail.
Good luck
Tim
 
my least favorite post-op phrase: "sternal precautions"

my least favorite post-op phrase: "sternal precautions"

Janea said:
Hi all--
My cardiologist said no bike riding till 3 months post op. Is that because the risk of falling and injuring my sternum?
...

hey janea - sounds conservative, but it can also really depend on what kind of riding you do and whether you plan on crashing or not. aggressive mtn biking probably would have to wait a little longer than say riding on smooth pavement with chubby 28mm tires.

i've heard 6 weeks before, min for riding. i was chomping at the bit to get back on the saddle at the time of my first OHS, but my cardiologist wanted to make sure i could handle it first, so he'd examine my incision by tapping around on the sternum to detect any movement. actually had to wait until 8 weeks before i could hit the roads and start training again. oh, dear, that stationary trainer was driving me whackers!

for my upcoming surgery, i plan on meeting up with my cardiologist at week 6 just to see how the incision is healing. she'll probably say "wait two more weeks" to play it safe, knowing her :) but i'd rather wait a little longer than suffer an additional complication from re-injuring my sternum, which from all accounts sounds like a very unfortunate situation indeed.
 
Like most people said it's a bit of both. I'm very active as well but the way I look at it is that I didn't want to risk anything that may jeopardize my recovery. I love to whitewater kayak and jog but the Card said nothing strenuos till 3 months. The way I look at it is that it's only 3 months of my life that I have to remain dosile.
 
I think because we're not in a cast, we tend to forget that our sternum needs to heal just like any other bone.

Close to 3 years post-op and with minimally invasive procedure, I still get sore if I twist the wrong way or reach across my body, etc. I still workout with weights and occassionaly feel sore in the sternum area after a bench press.

This is a traumatic surgery.
 
I would go back and ask your cardio to make sure it is out of an abundance of caution and not because they perceive some risk in your particular circumstances. I can see the cardio wanting to make sure you don't get in a situation where you might crash until the sternum is pretty well healed at 6-8 weeks (I think it takes 6 months to a year to heal fully), so 3 months would add a couple of weeks for a safety margin. You want to make sure they don't see something suggesting your bones might heal a bit on the slow side or who knows what else.

My surgeon knew I was riding again (indoor stationary trainer) at 3 weeks (he told me to hold off at 2 weeks when I asked) and didn't object. I didn't tell my cardio that I roller bladed at 8 weeks (just once). I started playing tennis again at 9 or 10 weeks. Just be careful to take it easy, listen to your body, and not put yourself in a situation where you could get hurt. Also, listen to your doctors - they have more experience at it than we do. :D
 
bicycle racer

bicycle racer

Wow, a cardiologist more conservative than mine! I am 10 months past aortic root replacement (T David procedure w/ dacron graft, retaining my own valve). I'm 44 years old.

My surgeon encouraged me to exercise from the get-go, and told me that if my echo at 6 months post-op was good, I was free to do whatever I wanted. But my regular cardio always tries to put the brakes on me, and so I'm still on a beta blocker that limits my upper heartrate. I'm a serious racer, and I ride *extremely* hard, pushing my body to 110% of max on hard training days, or in races. I've been back racing since about 6 months post-op. I was back on the bike - indoors on a trainer, going easy - at about 3 weeks after surgery, and back on the road at 6 weeks. I was told 6 weeks to allow the sternum some time to heal. 3 months seems like a long time, but there are a lot of factors specific to the individual.

I know it doesn't sound like it, but I've tried to be a patient patient! Ride indoors for a while and, trite as it sounds, listen to your body. Especially if you're not going to listen to your doctor!

seand
 
sorry to revisit this thread, but being that cycling is a huge part of my life, i now have some experience to contribute post op. while im only 2 weeks out, i was actually told by my cardio that typically, he would give most patients exhibiting the type of recovery i have thus far (fortunately, i am recovering very quickly, being young helps) permision to begin cycling. knowing my history as a competitive cyclist, he thinks - and i agree - that i would likely overdue it and we will wait until another month passes before i will begin riding again.

the largest threat to recovery, it seems, comes from falling rather than the position one maintains whilst riding a bicycle. PROPER fit on a bicycle asks very little of your upper body; one ought to hold the bars with only enough force to exhibit steering inputs. instead of having your arms support your body weight, ultimately cyclists should try to have thier CORE support their body weight by rotating their pelvis foward whilst on the saddle, and additionally, by bending one's arms and opening up the one's shoulders (which also opens up one's breathing). this not only takes pressure off of the rider's arms (who wants to ride in a pushup position anyway??), but allows your arms to act as suspension, making riding far more comfortable.

many people disregard this very simple way of making cycling much more comfortable, including a doctor who felt the need - upon hearing that i was a competitice cyclist - to come by my bed while i was still in the hospital to tell me NOT to ride a bike until i was completely healed (12 weeks!!) because of the high level of STRESS/FORCE my riding position would put on my sternum!! needless to say, i didnt enjoy his editorial and made it very clear to my cardiologist - who doesnt share his opinion - that i would be refit to my bicycle before i started riding again (i will, of course, need to ride in a less agressive position for quite a while before i develop my core strength and flexibility again). so thats my .02. enjoy riding.
 
Depending on where you ride, I would think the condition of the road or track would be important. You don't want to be putting your sternum through a lot of jarring and bumping. Riding on roads or nature trails probably wouldn't be good, but a smooth track wouldn't seem to be an issue a few months out.
 
Ross said:
.......and I'm sitting here asking myself who could ride a bike at 3 months?

Ross, I think you and I are in the minority there. I was still having a tough time walking at 3 months.
 
Hi Jas0n,

Good to see you posting. I agree completely. I have been on the trainer since 3 weeks to the day of of the surgery I am waiting for 3 months to hit the trails again primarily due to my ability to fall. I would rather not risk a fall while sensitive areas are healing. I have been doing paved rides with the wife and kids since 5 weeks out and have no issues. Those are slower more relaxed rides on smooth paved trails.

Less then 3 weeks till I hit the trails!:D
 
i feel your angst. im counting down the days. sept 22 will be my one month checkup with my cardiologist at which point he fully expects to give me the go ahead to start riding again. i am literally counting down the days and im even buying a new bike to celebrate!! no mtbing for a while though (i need to get in shape first), not riding this past year has made me a bit nostalgic for mtbing in general; ever since i started racing on the road, my mtbing has basically stopped. catn wait to get back into it all!! enjoy yourself and be careful!
 

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